Prognosis factors in patients with acute kidney injury after type A aortic dissection surgery undergone renal replacement therapy
HUANG Hao
WANG Wei
LIU Lin-wei
WANG Hong-fei
Abstract：Objective To analyze retrospectively the clinical materials of patients with acute kidney injury (AKI) after type A aortic dissection surgery undergone renal replacement therapy (RRT), and discuss the risk factors influencing prognosis.Methods The patients (n=96) were chosen from Jun. 2007 to Mar. 2015, and then divided, according to their clinical outcomes, into survival group (n=56) and death group (n=40). The clinical materials were compared between 2 groups before, during and after the operation. The independent risk factors influencing prognosis were reviewed by using multivariate Logistic regression analysis.Results The comparison in materials of 2 groups showed that incidence rates of NYHA functional class Ⅳ, neurological disorders and hepatic insufficiency before the operation, and hypotension, gastrointestinal bleeding, APACHE Ⅱ scores after the operation were higher in death group (P<0.05). The results of multivariate Logistic regression analysis showed that NYHA functional class Ⅳ before the operation, and hepatic insufficiency, hypotension and APACHE Ⅱ scores after the operation were independent risk factors of death (P<0.05).Conclusion The prognosis is related to hepatic insufficiency, hypotension and APACHE Ⅱ scores after the operation and NYHA functional class Ⅳ before the operation in patients with AKI after type A aortic dissection surgery undergone RRT. The perioperative risk factors should be paid more attention to and given intervention for improving patient's prognosis.
Keywords：Aortic dissectionAcute kidney injuryRenal replacement therapyRisk factors
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 103-106 )